Claims Support Clerk

Imagine360 is seeking a Claims Support Clerk to join the team!  This position is responsible for providing data entry of claims into the processing system in a timely and efficient manner. This position also actively collaborates with other team members in service and quality assurance initiatives to assist the department in fully contributing to the success of the department. This position maintains a comprehensive understanding of the plan document under their scope of responsibility.

Position Location: 100% remote

Responsibilities include but are not limited to:

Claims Registration

• Responsible for entering claims information, both manually and into a template, in the processing system in an accurate and timely manner.
• Participates in special projects as needed to meet business requirements.
• Ensures priority registration and special handling of Transplant claims

Customer Service

• Acts as a role model in demonstrating the core values in customer service delivery.
• Provides timely and thorough follow up with, internal and external customers.
• Appropriately escalates difficult issues up the chain of command.
• Trains new employees as assigned.

Quality Assurance

• Recognizes and alerts appropriate supervisor of trends within their scope of responsibility that fall outside of quality parameters.
• Performs self-quality monitoring to develop and execute plans to meet established goals.
• Provides ongoing feedback to help optimize quality performance.
• Collaborates with others and cross-departmentally to improve or streamline procedures.
• Develops new or improves current internal processes to improve quality
• All other duties as assigned by supervisor. This job description in no way states or implies that these are the only duties to be performed by this employee. The employee will be required to follow any other instructions and to perform any other duties requested by his/her supervisor.

Required Experience/Education:

• High School Diploma or Equivalent
• Working knowledge of computers and software including but not limited to Microsoft Office products
• Proficient 10-key and typing, and data entry skills
• Demonstrated self-motivation, organizational skills, problem-solving skills
• Strong written and oral communication skills with attention to detail and accuracy
• Demonstrated ability to do repetitive work, while maintaining production requirements, speed, and accuracy

Preferred experience:

• Experience in processing health insurance claims
• Medical billing and coding experience

Skills and Abilities:

• Working knowledge and of Microsoft Office products including Outlook, Excel and Word
• Ability to work in a remote setting free from distractions

What can Imagine360 offer you?

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**